Chapter 4E APS Case Planning

Cabinet for Health and Family Services

Department for Community Based Services

Division of Protection and Permanency

Table of Contents

4E APS CASE PLANNING

Introduction

4E.1CASEPLAN

4E.2PREVENTION PLAN

4E.3ADULT PERSONAL DEVELOPMENT PLAN

4E.4INDIVIDUALIZEDADULT SAFETY PLANNINGUTILIZING THE PREVENTION PLAN

SOP 4E

R. 11/15/05

APSCASE PLANNING

INTRODUCTION:

The SSW offers the adult the necessary protective or preventive services as identified in the Adult CQA. These services are based on the voluntary request foror acceptance of protective services by the adult in need of services; the voluntary request for services by a guardian on behalf of the adult; or, court ordered protective services, which are specified by the court and defined within the court order.

In order to provide the most comprehensive services to the adult, the SSW is encouraged to participate in local coordination efforts with community partners including, but not limited to Local coordinating Councils on Domestic Violence, Local Coordinating Councils on Elder Maltreatment, Multidisciplinary Geriatric Crisis Response and Intervention Teams, Adult Fatality Review Teams or TRIAD's. Participation will enhance interagency knowledge and cooperation thus enhancing the safety and stability of abused and/or neglected adults.

Division of Protection and Permanency

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SOP 4E.1

R. 11/15/05

CASE PLAN

COA STANDARDS:

• G8.4 Intake, Assessment, and Service Planning - Service Planning
• G8.6 Intake, Assessment, and Service Planning - Appropriateness of the Service Plan
• S11.2 Adult Protective Services - Service Elements
• S11.3 Adult Protective Services - Human Resources

LEGAL AUTHORITY:

• 42 U.S.C. 1397 includes the provision of adult protection services in the State's plan.
• KRS 209.030 Rules and regulations - Reports - Cabinet actions
• 922 KAR 5:070 Adult Protective Services

PROCEDURES:

1.Within thirty (30) calendardays after the approval of the investigative results and a decision to provide on-going services, the SSW develops a case plan with the adult, caretaker and others as appropriate.

2.Adults have the right to choose whom to involve in their individual case planning and should be encouraged to involve friends or family members who have the potential to be helpful in some way.

3.The SSW, with consent of the adult, may include the following people in case planning:

(a)Designated regional cabinet staff;

(b)Family members;

(c)Family friends;

(d)Community partners (i.e. medical providers, faith based organization members); or

(e)Other individuals requested by the adult.

4.For voluntary cases the SSW identifies protective service needs to the adult based on the most recent Adult CQA.

5.If the most recent Adult CQA is over thirty (30) days old, a new CQA is required prior to the completion of the case plan.

6.Adults voluntarily accepting services have the right to self-determination and can decide, with the SSW, which goal and objectives to address in their case plan.

7.The case plan must contain at least one family level objective (FLO) based on the Adult CQA.

8.The wording of the FLO is tailored to the adult's view of the problem and reflects their phrasing and terminology.

9.If the adult refuses to accept an FLO based on the highest risk identified on the Adult CQA, but agrees to an FLO which is not identified as the highest risk, the case plan is based on the objectives the adult wishes to address.

10.Case plans may contain an individual level objective (ILO) if the adult agrees or chooses to address such individual issues.

11.The ILO addresses personal patterns of behavior that are preventing an individual from achieving the family developmental tasks, however, it is not required that APS case plans contain an ILO due to the voluntary nature of these cases.

12.Tasks are completed for every FLO and ILO established in the case plan to identify what the family, SSW or other parties involved in the case are to complete.

13.There must be at least one task for each objective identified.

14.Rating anchors are only used to discuss an adult's concerns for their safety.

15.If the adult chooses not to have a family member involved (i.e. alleged perpetrator); the SSW develops the case plan only with the client.

16.In those circumstances the excluded person is not included as part of the FLO or ILO and should not sign the case plan.

17.In cases of spouse/partner abuse, the SSW should take particular care to assure the comfort and protection of potential victims by reassuring them it is their right to have services without designated others involved.

18.In cases of spouse/partner abuse, the first FLO addressed is physical safety.

19.When the alleged perpetrator is involved in the case plan, the first ILO should clearly address specific behavior surrounding the abuse, neglect or exploitation.

20.The adult, SSW, and others involved in the case planning sign the case plan. If the adult agrees to the case goals and objectives, but chooses not to sign the plan, the SSW documents this in the case record.

21.The SSW provides a copy of theDPP 154 Service Appeal Requestto the victim. (Link to SOP 1A.8 Service Appeals). The SSW also provides a copy of the DPP 154 to the alleged perpetrator if they are requesting or being provided services.

22.The SSW must consider confidentiality a significant concern, since inappropriate access to the case plan might cause risk to the victim.

23.The FSOS approves all case plans.

SOP 4E.2

R. 11/15/05

PREVENTION PLAN

COA STANDARDS:

• G8.4 Intake, Assessment, and Service Planning - Service Planning
• S11.2 Adult Protective Services - Service Elements
• S11.3 Adult Protective Services - Human Resources

LEGAL AUTHORITY:

• 42 U.S.C. 1397 includes the provision of adult protection services in the State's plan.
• KRS 209.030 Rules and regulations - Reports - Cabinet actions
• 922 KAR 5:070 Adult Protective Services

PROCEDURES:

1.The purpose of the Prevention Plan is to identify behaviors that the adult will address to prevent reoccurrence of abuse, neglect or exploitation. The Prevention Plan identifies high-risk situations and early warning signals/signs. It is intended to help the adult victim:

(a)Prevent the high-risk situation;

(b)Interrupt the high-risk situation early, if unable to prevent the situation; or,

(c)Escape the high-risk situation.

2.If the adult victim gives permission to contact the alleged perpetratorand the individual is willing to cooperate, or is court ordered, the SSW may develop a Prevention Plan with this individual.

3.It may not be necessary, unless court ordered, to develop a Prevention Plan if the adult chooses not to give permission to contact the alleged perpetrator or include this individual in the case plan.

4.In on-going spouse/partner abuse cases that include the alleged perpetrator, a Prevention Plan is used as the spouse/partner abuse control plan.

5.If a treatment provider will be assisting with the Prevention Plan, it may be necessary for the SSW to contact the treatment provider to assist the adult in explaining the Prevention Plan and its critical role in prevention or reoccurrence of the high-risk situation.

6.The SSW enters the Prevention Plan as the case plan.

SOP 4E.3

R. 11/15/05

ADULT PERSONAL DEVELOPMENT PLAN

COA STANDARDS:

• G8.4 Intake, Assessment, and Service Planning - Service Planning
• S11.2 Adult Protective Services - Service Elements

LEGAL AUTHORITY:

• 42 U.S.C. 1397 includes the provision of adult protection services in the State's plan.

• KRS 209.030 Rules and regulations - Reports - Cabinet actions
• 922 KAR 5:070 Adult Protective Services

PROCEDURES:

An adult may elect for safety reasons to work on individual issues separate from the family or care network, and it is within their rights to request that portion of the case remain confidential. The SSW and the adult may address the adult’s ongoing personal development issues by developing a separate DPP-293, Adult Personal Development Plan within the case plan for the adult’s individual level objectives (ILO). The adult may request that the DCBS-293, Adult Personal Development Plan, not be documented in the case plan, but remain a verbal agreement for the ILO.

1. If the Adult Personal Development Plan is written as their confidential portion of the case plan the SSW documents only those ILOs agreed to by the adult.
2. The plan cannot be shared outside of the Department with anyone other than the person for whom it has been developed without that adult's signed release.
3. If an adult agrees to the development of the plan, and agrees to it being a part of the case record, the SSW places a copy of the written plan in the case record. The DCBS-293, Adult Personal Development Plan, is not entered into TWIST.

SOP 4E.4

R. 11/15/05

INDIVIDUALIZED ADULT SAFETY PLANNING UTILIZING THE PREVENTION PLAN

COA STANDARDS:

• G8.4 Intake, Assessment, and Service Planning - Service Planning
• S11.2 Adult Protective Services - Service Elements

LEGAL AUTHORITY:

• 42 U.S.C. 1397 includes the provision of adult protection services in the State's plan.

• KRS 209.030 Rules and regulations - Reports - Cabinet actions
• 922 KAR 5:070 Adult Protective Services

PROCEDURES:

1.The Cabinet for Health and Family Services is mandated to offer services to protect adults from abuse, neglect, and exploitation. The SSW may use thePrevention Plan to address immediate safety concerns and provide the initial assistance and direction for such protection and prevention strategies to guard against additional abuse, neglect, and exploitation. The plan may be developed with the adult whenever there are safety risks identified such as:

(a)To assist in transition from the assessment/investigation until an ongoing case plan is developed;

(b)When abuse, neglect or exploitation is currently occurring as identified by the Adult CQA, and the adult elects to remain in the household; or,

(c)When ongoing services are planned.

2.As with all voluntary adult services case planning, the contents of the plan are agreed to by the adult and need to be as specific, detailed and practical to address safety concerns and reviewed and revised as necessary. At the client's discretion, the plan may be written, verbal or refused.

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